COLLEGE PARK FAMILY CLINIC PA
Medical Practice at College Ave, Conway, AR

License number
Arkansas C6340
Category
Osteopathic Medicine
Type
Emergency Medicine
License number
Arkansas C6340
Category
Osteopathic Medicine
Type
Family Medicine
License number
Arkansas C6340
Category
Medical Practice
Type
Pediatrics
Owner
Name: GIL E JOHNSON MD
Title: CEO PRESIDENT
Phone: (501) 327-6041
Address
Address
2511-A College Ave, Conway, AR 72034
National Provider ID: 1861478232
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COLLEGE PARK FAMILY CLINIC, PA

2511 College Ave STE A, Conway, AR 72034

Industry:
Medical Doctor's Office
Doing business as:
Johnson, Gil
Registration:
Apr 19, 1994
Phone:
(501) 327-6041 (Phone)
State ID:
100112029
Business type:
For Profit Corporation
Nurses:
Jack E. Engelkes,Gil Johnson (President),Gil E. Johnson (Secretary, Chief Executive Officer, Family Practitioner, Medical Doctor),...
Agent:
Gil E Johnson,2511 College Ave STE A, Conway, AR 72034 (Physical)
Filled under act:
Dom Prof Corp; 155 of 1963

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